2448 (2) No. STUieT �fJ.f. �r
APnPT4LICATION, �R-PLUMBING PERMIT r/ brs
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Sanitary No.
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�- 0 Application is hereby made to the City of Cupertino for a permit to install plumbing
`o a pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
i and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
a w Cupertino, and all other laws applicable thereto.
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�Q 7 State License Approved r Jl P�Vt-
�L/ PLUA::JNG INSPECTOR
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Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
❑ Sewer Connection Sanitary Permit No. ..�
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M"IePlumbing Final Plumbing Permit No
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Tract ....................................F,..c:.:+�.-.1.......1.........., .. ....................................
Date Connected ............................... 19..i.;}
Date Final ...........---.........................:.
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PLUMBING INSPEL3R
111 7/63-IM